Is it pneumonia or bronchitis?

Last updated September 3, 2026.

Bronchitis: hacking cough with mucus, low or no fever, crummy but functional, usually viral, 1-3 weeks, antibiotics useless. Pneumonia: high fever and chills, breathlessness, chest pain on breathing, genuinely ill; needs a same-day exam and often antibiotics. The distinguishing tells are depth and sickness: breathlessness, chest pain with breathing, high fever, and real systemic illness point down into the lungs. The exam confirms it: crackles on listening, chest X-ray if needed. The ER list: severe breathlessness, blue lips, saturation under about 92 percent on a home pulse oximeter, confusion (a classic elderly pneumonia presentation even without fever), or cardiac-type chest pain. High-risk groups (65-plus, under 2, COPD, asthma, heart disease, smokers, immunocompromised) get evaluated sooner. For plain bronchitis: rest, fluids, humidifier, honey, acetaminophen or ibuprofen, and patience, because the cough outlives the illness and 3 lingering weeks is normal.

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